MARISA MARIE LEBLANC ARNP, AGPCNP-BC
NPI 1124851092
Nurse Practitioner - Adult Health in Tacoma, WA

Q: What is Marisa Leblanc's NPI number?

The NPI number for Marisa Leblanc is 1124851092. It was assigned to this individual provider in the NPPES registry on August 24, 2024.

Q: What is Marisa Leblanc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Leblanc was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2024PECOS EnrolledAccepts Medicare Assignment

1802 YAKIMA AVE STE 302, TACOMA, WA 98405(253) 627-1244(253) 627-6576 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Aug 24, 2024 (2 updates tracked since 2024).

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About Marisa Marie Leblanc Arnp, Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA MARIE LEBLANC ARNP, AGPCNP-BC (NPI 1124851092) is an individual adult health provider in Tacoma, Washington, licensed in Washington (AP61532651) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124851092

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARISA MARIE LEBLANCCredential: ARNP, AGPCNP-BC

Location Address1802 YAKIMA AVE STE 302Tacoma, WA 98405-5305

Mailing Address1802 Yakima Ave Ste 302Tacoma, WA 98405-5305 · (253) 627-1244 · Fax (253) 627-6576

Phone(253) 627-1244

Fax(253) 627-6576

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 24, 2024

Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1124851092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in WA · AP61532651

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP61532651 (WA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP61532651 (WA)

1802 YAKIMA AVE STE 302, Tacoma, WA 98405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Marie Leblanc Arnp, Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264933266

PECOS Enrollment IDI20250831000001

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILIYA ARTYM

Nurse Practitioner (Family)